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The Illiberalism of Behavioural Conditionality: A Critique of Australia’s ‘No Jab, No Pay’ Policy

Published online by Cambridge University Press:  22 January 2019

KATHERINE CURCHIN*
Affiliation:
Centre for Social Research and Methods, Australian National University, Canberra 2601, Australia email: [email protected]

Abstract

Internationally the payment of welfare benefits is increasingly being made conditional on recipients’ behaviour. Behavioural conditions and the payments to which they apply are diversifying. This article aims to contribute to the debate among scholars and policymakers over the ethics of welfare conditionality. While other assessments of the ethics of welfare conditionality have focused on the potential harm caused to vulnerable welfare recipients, this paper develops the argument that welfare conditionality is illiberal. Drawing on findings from behavioural science, it argues that relying on extrinsic motivation in the form of financial incentives is a less desirable approach to behavioural change than bolstering intrinsic motivation. The argument is illustrated with the case of the Australian ‘No Jab, No Pay’ policy, under which family payments and childcare subsidies are denied to parents whose children are not fully immunised. As behavioural conditions and the payments to which they are applied diversify, the cumulative effects of these conditions pose an underappreciated threat to citizens’ autonomy.

Type
Article
Copyright
© Cambridge University Press 2019 

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References

Albrechtsen, J. (2015), No ‘rights’ for unsafe children. The Australian, 18 April, 21.Google Scholar
Attwell, K., Leask, J., Meyer, S.B., Rokkas, P. and Ward, P. (2017), Vaccine rejecting parents’ engagement with expert systems that inform vaccination programs. Journal of Bioethical Inquiry, 14, 6576.CrossRefGoogle ScholarPubMed
Black, C. (2016), An Independent Review into the impact on employment outcomes of drug or alcohol addiction, and obesity. London: Her Majesty’s Stationery Office.Google Scholar
Blume, S. (2006), Anti-vaccination movements and their interpretations. Social Science and Medicine, 62, 628642.Google ScholarPubMed
Bond, L., Davie, G., Carlin, J.B., Lester, R. and Nolan, T. (2002), Increases in vaccination coverage for children in child care, 1997 to 2000: An evaluation of the impact of government incentives and initiatives. Australian and New Zealand Journal of Public Health, 26, 5864.CrossRefGoogle ScholarPubMed
Bond, L., Nolan, T. and Lester, R. (1999), Immunisation uptake, services required and government incentives for users of formal day care. Australian and New Zealand Journal of Public Health, 23, 368376.CrossRefGoogle ScholarPubMed
Bowles, S. (2008), Policies designed for self-interested citizens may undermine “The Moral Sentiments”: Evidence from Economic Experiments. Science, 320, 16051609.CrossRefGoogle ScholarPubMed
Bowles, S. (2016), The moral economy: Why good incentives are no substitute for good citizens. New Haven: Yale University Press.Google Scholar
Conly, S. (2013), Against autonomy: Justifying coercive paternalism. Cambridge: Cambridge University Press.Google ScholarPubMed
Considine, M., Lewis, J.M., O’sullivan, S. and Sol, E. (2015), Getting welfare to work: Street-level governance in Australia, the UK, and the Netherlands. Oxford: Oxford University Press.CrossRefGoogle Scholar
Curchin, K. (2017), Using behavioural insights to argue for a stronger social safety net: Beyond libertarian paternalism. Journal of Social Policy, 46, 231249.CrossRefGoogle Scholar
Deacon, A. (2002), Perspectives on welfare: Ideas, ideologies and policy debates. Buckingham: Open University Press.Google Scholar
Dean, H. (2007), The ethics of welfare-to-work. Policy & Politics, 35, 573589.CrossRefGoogle Scholar
Deci, E. (1971), The effects of externally mediated rewards on intrinsic motivation. Journal of Personality and Social Psychology, 18, 105115.Google Scholar
Deeming, C. (2015), Foundations of the workfare state: Reflections on the political transformation of the welfare state in Britain. Social Policy and Administration, 49, 862886.Google Scholar
Dwyer, P. and Wright, S. (2014), Universal credit, ubiquitous conditionality and its implications for social citizenship. Journal of Poverty and Social Justice, 22, 2735.CrossRefGoogle Scholar
Fielding, J.E., Bolam, B. and Danchin, M.H. (2017), Immunisation coverage and socioeconomic status–questioning inequity in the “No Jab, No Pay” policy. Australian and New Zealand Journal of Public Health, 41, 455457. doi: 10.1111/1753-6405.12676.CrossRefGoogle ScholarPubMed
Fletcher, D.R. and Flint, J. (2018), Welfare conditionality and social marginality: The folly of the tutelary state? Critical Social Policy, 38, 771791.Google Scholar
Frey, B.S. and Jegen, R. (2001), Motivation crowding theory. Journal of Economic Surveys, 15, 589611.CrossRefGoogle Scholar
Friedli, L. and Stearn, R. (2015), Positive affect as coercive strategy: Conditionality, activation and the role of psychology in UK government workfare programmes. Medical Humanities, 41, 4047.CrossRefGoogle ScholarPubMed
Goodin, R.E. (1998), Social welfare as a collective social responsibility. In Social welfare and individual responsibility: For and against. Cambridge: Cambridge University Press.Google Scholar
Goodin, R.E. (2002), Structures of mutual obligation. Journal of Social Policy, 31, 579596.CrossRefGoogle Scholar
Grant, R.W. (2012), Strings attached. Princeton: Princeton University Press.Google Scholar
Griggs, J. and Evans, M. (2010), Sanctions within conditional benefit systems: A review of evidence. York: Joseph Rowntree Foundation.Google Scholar
Gutmann, A. and Thompson, D. (1996), Democracy and disagreement. Cambridge: Harvard University Press.Google Scholar
Henman, P. (2011), Conditional citizenship? electronic networks and the new conditionality in public policy. Policy and Internet, 3, 118.CrossRefGoogle Scholar
Hood, C. (2010), Can we? administrative limits revisited. Public Administration Review, 70, 527534.CrossRefGoogle Scholar
Jordan, K. and Fowkes, L. (Eds.). (2016), Job creation and income support in remote indigenous Australia: Moving forward with a better system. Canberra: CAEPR Topical Issue 2/2016.Google Scholar
Kerpelman, L.C., Connell, D.B. and Gunn, W.J. (2000), Effect of a monetary sanction on immunization rates of recipients of aid to families with dependent children. JAMA, 284, 5359.CrossRefGoogle ScholarPubMed
King, D. (1999), In the name of liberalism. Oxford: Oxford University Press.CrossRefGoogle Scholar
Lawrence, G.L., MacIntyre, C.R., Hull, B.P. and McIntyre, P.B. (2004), Effectiveness of the linkage of child care and maternity payments to childhood immunisation. Vaccine, 22, 23452350.CrossRefGoogle ScholarPubMed
Leask, J. and Danchin, M. (2017), Imposing penalties for vaccine rejection requires strong scrutiny. Journal of Paediatrics and Child Health, 53, 439444.CrossRefGoogle ScholarPubMed
Le Grand, J. (1997), Knights, knaves or pawns? Human behaviour and social policy. Journal of Social Policy, 26, 149169.CrossRefGoogle Scholar
Lupton, D. (2014), Health promotion in the digital era: A critical commentary. Health Promotion International, 30, 174183.CrossRefGoogle ScholarPubMed
Macintyre, R. and Salmon, R. (2015), Want to boost vaccination? Don’t punish parents, build their trust. The Conversation, 15 April. https://protect-eu.mimecast.com/s/c0oMCA6l6tNKJM1cGWCKO?domain=theconversation.com; https://theconversation.com/want-to-boost-vaccination-dont-punish-parents-build-their-trust-40094 Google Scholar
Mead, L. (1986), Beyond entitlement. New York: Free Press.Google Scholar
Mead, L. (1997), The rise of paternalism. In Mead, L.M. (Ed.), The new paternalism: Supervisory approaches to poverty. Washington, D.C.: Brookings Institution Press.Google Scholar
Mendes, P. (2008), Australia’s welfare wars revisited. Sydney: UNSW Press.Google Scholar
Minkovitz, C., Holt, E., Hughart, N. et al. (1999), The effect of parental monetary sanctions on the vaccination status of young children: An evaluation of welfare reform in Maryland. Archives of Pediatrics and Adolescent Medicine, 153, 12421247.CrossRefGoogle ScholarPubMed
Molander, A and Torsvik, G. (2015), Getting people into work: What (if Anything) can justify mandatory activation of welfare recipients? Journal of Applied Philosophy, 32, 373392.Google Scholar
Morrison, S. (2015), Social Services Legislation Amendment (No Jab, No Pay) Bill 2015 Second Reading Speech. House of Representatives, 10329. https://parlinfo.aph.gov.au/parlInfo/search/display/display.w3p;query=Id:%22chamber/hansardr/842ee7d9-89d4-4e4f-bc93-045b018bbeb2/0023%22 Google Scholar
Murray, C. (1984), Losing ground. New York: Basic Books.Google Scholar
NCSL (2017), Drug testing for welfare recipients and public assistance. National Conference of State Legislatures. http://www.ncsl.org/research/human-services/drug-testing-and-public-assistance.aspx Google Scholar
O’Brien, M. (2013), Welfare reform in Aotearoa/New Zealand: From citizen to managed worker. Social Policy and Administration, 47, 729748.Google Scholar
Patrick, R. (2011), The wrong prescription: Disabled people and welfare conditionality. Policy & Politics, 39, 275291.CrossRefGoogle Scholar
Paz-Fuchs, A. (2008), Welfare to work: Conditional rights in social policy. Oxford: Oxford University Press.CrossRefGoogle Scholar
Pearce, A., Marshall, H., Bedford, H. and Lynch, J. (2015), Barriers to childhood immunisation: Findings from the longitudinal study of Australian children. Vaccine, 33, 33773383.CrossRefGoogle ScholarPubMed
Pérez-Munoz, C. (2017), What is wrong with testing welfare recipients for druguse? Political Studies, doi: 10.1177/0032321717692166.CrossRefGoogle Scholar
Salmon, D.A., Teret, S.P., MacIntyre, C.R., Salisbury, D., Burgess, M.A. and Halsey, N.A. (2006), Compulsory vaccination and conscientious or philosophical exemptions: Past, present, and future. The Lancet, 367, 436442.CrossRefGoogle ScholarPubMed
Sandel, M. (2012), What money can’t buy. London: Penguin.Google Scholar
Sarra, C. (2012), Good morning Mr Sarra. St Lucia: University of Queensland Press.Google Scholar
Schmidtz, D. (1998), Taking responsibility. In Social welfare and individual responsibility: For and against. Cambridge: Cambridge University Press.Google Scholar
Schneider, A. and Ingram, H. (1990), Behavioural assumptions of policy tools. Journal of Politics, 52, 510530.Google Scholar
Taylor, D.R., Gray, M. and Stanton, D. (2016), New conditionality in Australian social security policy. Australian Journal of Social Issues, 51, 325.Google Scholar
Taylor-Gooby, P. (2015), Making the case for the welfare state. Policy & Politics, 43, 597614.CrossRefGoogle Scholar
Thaler, R.H. and Sunstein, C.R. (2008), Nudge. New Haven: Yale University Press.Google Scholar
Titmuss, R. (1970), The gift relationship. London: George Allen & Unwin.Google Scholar
Veen, R.V.D. and Trommel, W. (1999), Managed liberalization of the Dutch welfare state: A review and analysis of the reform of the Dutch social security system, 1985–1998. Governance, 12, 289310.CrossRefGoogle Scholar
Ward, K., Hull, B.P. and Leask, J. (2013), Financial incentives for childhood immunisation– a unique but changing Australian initiative. Medical Journal of Australia, 198, 590592.CrossRefGoogle ScholarPubMed
Watson, S. (2015), Does welfare conditionality reduce democratic participation? Comparative Political Studies, 48, 645668.Google Scholar
Watts, B. and Fitzpatrick, S. (2018), Welfare conditionality. Abingdon: Routledge.Google Scholar
Watts, B., Fitzpatrick, S., Bramley, G. and Watkins, D. (2014), Welfare sanctions and conditionality in the UK. Joseph Rowntree Foundation. York.Google Scholar
White, S. (2010), Ethics. In Castles, F.G., Leibfried, S., Lewis, J., Obinger, H. and Pierson, C. (Eds.), The Oxford handbook of the welfare state. Oxford: Oxford University Press.Google Scholar
Wigham, S., Ternent, L., Bryant, A., Robalino, S., Sniehotta, F.F. and Adams, J. (2014), Parental financial incentives for increasing preschool vaccination uptake: Systematic review. Pediatrics, 134, e1117e1128.Google ScholarPubMed
Wincup, E. (2014), Thoroughfares, crossroads and cul-de-sacs: Drug testing ofwelfare recipients. International Journal of Drug Policy, 25, 10311037.Google Scholar
Wolff, J. (2015), Political philosophy and the real world of the welfare state. Journal of Applied Philosophy, 32, 360372.CrossRefGoogle Scholar
Wright, S. (2012), Welfare-to-work, agency and personal responsibility. Journal of Social Policy, 41, 309328.CrossRefGoogle Scholar
Wright, S. (2016), Conceptualising the active welfare subject: Welfare reform in discourse, policy and lived experience. Policy & Politics, 44, 235252.CrossRefGoogle Scholar
Yeatman, A. (2000), Mutual obligation: What kind of contract is this? In Saunders, P. (Ed.), Reforming the Australian welfare state (pp. 156176). Melbourne: Australian Institute of Family Studies.Google Scholar